| NPI | 1477634566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NH 15288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME EC-05-083) |
| 208000000X Pediatrics (Licence: OH 35.092244) | |
| 208000000X Pediatrics (Licence: OH 57.012848) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-11-16 |