| NPI | 1891999678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A106122) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 106122) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2018-03-27 |