| NPI | 1467619080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: WI 56877-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 56877-20) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2012-09-18 |