| NPI | 1376503714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C10007504) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD046853L) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-04-25 |