| NPI | 1336346782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA MD-44822) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-123680) |
| 208000000X Pediatrics (Licence: IA MD-44822) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2018-03-26 |