| NPI | 1275637654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-12039) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101238427) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101238427) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2021-01-08 |