| NPI | 1548232036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 073331) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: RI MD11036) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 216383) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2023-03-24 |