| NPI | 1841382686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME122547) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C10007564) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ MA08036300) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD421670) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-09-28 |