| NPI | 1407274871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101277861) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 270309) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-08-21 |