| NPI | 1437375649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 51919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD27665) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-03-12 |