| NPI | 1841585148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 66878) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD042385) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME132287) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-04-14 |