| NPI | 1205147105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 56170) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-16440) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-16440) | |
| 208000000X Pediatrics (Licence: KS 94-07493) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036133202) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2026-05-19 |