| NPI | 1689697336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 10759) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MS 10759) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-09-12 |