| NPI | 1316179740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 250416) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 250416) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2019-06-05 |