| NPI | 1568625200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME111671) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME111671) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-6685) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 57 014261) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-01-27 |