| NPI | 1326208950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2011-00840) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301106715) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD60265237) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301106715) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2016-09-02 |