| NPI | 1932262706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NE 24628) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NE 24628) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2025-11-24 |