| NPI | 1699115006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MO 2016009346) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016009346) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2024-04-25 |