| NPI | 1346688652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2014008648) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD0000055812) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2023-08-07 |