| NPI | 1588027783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2023-02460) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2023-02460) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-12-18 |