| NPI | 1326579517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 67096) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 67096) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-05-30 |