| NPI | 1427137991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 5665627-1204) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ME DO3974) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2024-10-18 |