| NPI | 1780046912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NH 35175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD048286) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2025-09-27 |