| NPI | 1730278391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.132713) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MS 2446) |
| 208000000X Pediatrics (Licence: FL TRN9475) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 51288) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD446157) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MS 22689) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-09-13 |