| NPI | 1942206016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 21039) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 24809) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 21039) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2020-09-29 |