| NPI | 1699978916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101273321) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101273321) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 37054) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-04-29 |