| NPI | 1528021755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101039869) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D34047) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD10635) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2021-07-14 |