| NPI | 1225247406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.137251) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA 40907) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: SD 8561) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-05-30 |