| NPI | 1841533072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX R2657) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124770) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MT205572) | |
| Enumeration Date | 2013-04-06 |
| Last Update Date | 2019-09-12 |