| NPI | 1457585010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA 20A11489) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A11489) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2026-01-12 |