| NPI | 1902338957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 58892) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R4471) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-07-22 |