| NPI | 1982937058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ID M-12151) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 7320207-1205) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2014-02-05 |