| NPI | 1669565149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0013378) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA10794000) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35081983L) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q2330) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-12-24 |