| NPI | 1467614685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A97782) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a97782) |
| 208000000X Pediatrics (Licence: MI 4301093753) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301093753) | |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2024-06-26 |