| NPI | 1427236744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CA G81545) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G81545) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2024-04-11 |