| NPI | 1427144666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A122753) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D71188) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-01-22 |