| NPI | 1780147298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.154087) |
| Additional Taxonomies | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: OH 35.154087) |
| 208000000X Pediatrics (Licence: OH 35.154087) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2026-06-15 |