| NPI | 1295266971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.0075699) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 12233987-1205) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2025-09-02 |