| NPI | 1730279977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA MD-45367) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD34722) |
| 208000000X Pediatrics (Licence: IA MD-45367) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD34722) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM MD2014-0668) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2018-08-13 |