| NPI | 1780868786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01069472A) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO DR.0054160) |
| 208000000X Pediatrics (Licence: NC 2009-01496) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.0054160) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2021-03-16 |