| NPI | 1194772178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 32248) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD422722) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD0000032248) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-08-01 |