| NPI | 1275595910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME147066) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D0057502) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD30042) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101230792) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-11-15 |