| NPI | 1558382077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D68082) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G29399) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA 37342) | |
| 208000000X Pediatrics (Licence: IA 37342) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-10-27 |