| NPI | 1730338054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4301094098) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.121521) |
| 208000000X Pediatrics (Licence: MI 4301094098) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2012-04-11 |