| NPI | 1598968158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301095722) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301095722) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-06-16 |