| NPI | 1427265461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: OH 35.092319) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.092319) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: KY 45918) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-03-30 |