| NPI | 1306036884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A112326) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A112326) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2014-11-12 |