| NPI | 1437309028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MS 23783) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX BP 10048817) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2022-07-21 |