| NPI | 1952493819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A62282) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO 45038) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-10-12 |