| NPI | 1356354427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NH 8952) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VT 042-0009165) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2019-06-28 |