| NPI | 1538362371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C2-0012296) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT 012099) |
| 208000000X Pediatrics (Licence: DE C20009385) | |
| 208000000X Pediatrics (Licence: DE C7-0003822) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2018-03-17 |