| NPI | 1891216834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AL MD.46474) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301502625) |
| 208000000X Pediatrics (Licence: AL MD.46474) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301502625) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-06-16 |