| NPI | 1447745294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD493904) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD493904) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2026-09-03 |