| NPI | 1871555474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MD D0062996) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: VA 0101238085) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: DE C10011073) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: DC MD33874) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-09-16 |