| NPI | 1760869309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.145859) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OH 35.145859) |
| 208000000X Pediatrics (Licence: OH 35.145859) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2025-04-21 |