| NPI | 1932262706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2004-00484) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2004-00484) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-10-30 |