| NPI | 1356310668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME90028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME90028) |
| 208000000X Pediatrics (Licence: FL ME90028) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-11-11 |