| NPI | 1336435270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 55204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A149598) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 73839) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: MN 55204) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A149598) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2024-07-08 |