| NPI | 1770019440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 34.016590) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.016590) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2023-06-11 |