| NPI | 1932634102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 81643-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 81643-20) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2025-04-09 |