| NPI | 1508006222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101274508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD040102) |
| 208000000X Pediatrics (Licence: VA 0101274508) | |
| Enumeration Date | 2009-02-21 |
| Last Update Date | 2022-05-04 |