| NPI | 1831306851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: OH 35.093256) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: KY 46317) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: IN 01072809A) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: WV 25416) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-07-21 |