| NPI | 1831166529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NJ 25MA04275300) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA04275300) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2025-01-21 |