| NPI | 1437532587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 332608) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 332608) |
| 208000000X Pediatrics (Licence: LA 1437532587) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2022-08-19 |