| NPI | 1679627798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: RI RI13511) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: DE C10008082) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: MD D0068007) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: PA MD429590) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-05-03 |