| NPI | 1215125208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T3461) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-39416) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2016032920) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA 37499) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.0057261) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2022-04-19 |