| NPI | 1912959743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 42285) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01079514) |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: IN 01079514A) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2026-02-26 |