| NPI | 1306034749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.131756) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 50532) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 54026-020) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WV 27678) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2024-03-04 |