| NPI | 1265630651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 50743) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 02002284A) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2024-03-02 |