| NPI | 1205946845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: VA 0101-036953) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-036953) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-11-14 |