| NPI | 1982817904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 56277) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 56277) |
| 208000000X Pediatrics (Licence: GA 61230) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 061230) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-07-21 |