| NPI | 1437329976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 9098717-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 03611925) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD448137) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A107940) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2021-12-15 |