| NPI | 1689834871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME149441) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME149441) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX S3748) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2023025885) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-01-24 |