| NPI | 1346371143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2010021890) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ID M-16980) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 50124-020) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-01-24 |