| NPI | 1235232661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: VA 0101057844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101057844) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-10-19 |