| NPI | 1396824496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: AZ 72417) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: AZ 72417) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-07-31 |