| NPI | 1639341894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2021036349) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P0142) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-45169) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2022-01-20 |