| NPI | 1548468028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD043843) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX N1056) |
| 208000000X Pediatrics (Licence: TX N1056) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2017-03-23 |