| NPI | 1346534492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OR MD168277) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 28559) |
| 208000000X Pediatrics (Licence: OR MD168277) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-07-21 |