| NPI | 1851644256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-15519) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-15519) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P0459) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-139347) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2022-08-29 |