| NPI | 1699724245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101028010) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101058010) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2012-11-29 |