| NPI | 1649451352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036.138159) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301097945) |
| 208000000X Pediatrics (Licence: NE 5841) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301097945) | |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2015-07-15 |