| NPI | 1205082393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX U9290) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C141557) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME157181) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2024-02-21 |