| NPI | 1376705707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CA A144821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A144821) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2016-10-11 |