| NPI | 1851551428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA MD-45414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-45414) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q9483) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014303A) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2019-05-05 |