| NPI | 1336133776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M11029) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CA G33130) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2014-02-06 |