| NPI | 1427149715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: DE C10005543) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NJ MA04919400) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: PA MD035913E) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-01-24 |