| NPI | 1518261171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101275867) |
| Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TN 55743) |
| 208000000X Pediatrics (Licence: TX 550237) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 55743) | |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2022-11-11 |