| NPI | 1194783910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036100081) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 73681) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01052399A) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2008-09-23 |