| NPI | 1659549681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MS 26254) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 26254) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2025-01-20 |