| NPI | 1942627955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 281423) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 281423) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-04-12 |