| NPI | 1699728022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD00042494) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ID M-9469) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-06-02 |