| NPI | 1841482619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX N6678) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036118771) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2011-00858) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2014-02-03 |