| NPI | 1396701835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD447686) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D95958) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 29780) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-12-14 |