| NPI | 1770555138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 57896) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: MA 57896) |
| 208000000X Pediatrics (Licence: MA 57896) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-11-17 |