| NPI | 1487668224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM MD2016-0686) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036076431) |
| 208000000X Pediatrics (Licence: IL 036076431) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 336-039665) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-02-28 |