| NPI | 1225491764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: AZ 10311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A16094) |
| 208000000X Pediatrics (Licence: CO DR.0061983) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: CO DR.0061983) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-09-26 |