| NPI | 1245792209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 246962) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 12762223-1205) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-08-27 |