| NPI | 1922186311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25ma05366500) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA05366500) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-05-02 |