| NPI | 1437325446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 2011-01270) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2011-01270) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2015-11-16 |