| NPI | 1528153756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G84720) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J7997) |
| 208000000X Pediatrics (Licence: TX J7997) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX J7997) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-03-12 |