| NPI | 1760660369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 59396) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q2254) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01064746) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2022-05-04 |