| NPI | 1538693700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: IA MD-47499) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-47499) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2024-08-29 |