| NPI | 1831151067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101028843) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D20821) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD10348) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |