| NPI | 1245429091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO 51436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 51436) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2012-09-04 |