| NPI | 1922188275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NY 261643) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: TX H3674) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-06-18 |