| NPI | 1841251246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P1697) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D43174) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD035503) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2012-10-02 |