| NPI | 1477712297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD51425) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD51425) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN MD51425) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2016-03-07 |