| NPI | 1417114141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C157657) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2013021434) |
| 208000000X Pediatrics (Licence: MO 2013021434) | |
| 208000000X Pediatrics (Licence: CA C157657) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2018-08-17 |