| NPI | 1649666785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.35413) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AL MD.35413) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2019-10-11 |