| NPI | 1275995276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: FL ME161747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.38321) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: PA MD476965) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: AL MD.38321) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-08-24 |