| NPI | 1912299967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX U8092) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10040960) |
| 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TN 57868) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 11018024A) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2024-05-21 |