| NPI | 1801806344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 9501665) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9501665) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-12-18 |