| NPI | 1801001771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301119342) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A121219) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO 47596) | |
| 208000000X Pediatrics (Licence: OH 57.011456) | |
| 208000000X Pediatrics (Licence: MI 4301119342) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P7881) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2019-07-23 |