| NPI | 1295998482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P0376) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-37647) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2014039522) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-12-13 |