| NPI | 1568826287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2022-00736) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01082376A) |
| 208000000X Pediatrics (Licence: NC 2022-00736) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-01-15 |