| NPI | 1841486263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CA C164666) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: IL 036-125433) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2021-01-05 |