| NPI | 1851328603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 11443290-1205) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX 42961) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-4510) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.150499) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-09-10 |