| NPI | 1588866578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A99014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A99014) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2024-10-30 |