| NPI | 1770592891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD029167E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA04512500) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA04512500) | |
| 208000000X Pediatrics (Licence: PA MD029167E) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2013-05-21 |