| NPI | 1841727450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.0070659) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301112208) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2023-07-14 |