| NPI | 1437319316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 50919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD50919) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2022-03-31 |