| NPI | 1326351214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM MD2016-0278) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: HI MD-22397) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2025-04-24 |