| NPI | 1871572487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NJ 25MA04789800) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NY 147457) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2019-04-01 |