| NPI | 1760828180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 278995-1) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD448437) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM MD2023-1073) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 47949) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-05-17 |