| NPI | 1992236285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NJ 25MA10840300) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4301504718) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-06-14 |