| NPI | 1992749105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 267803) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G072794) |
| 208000000X Pediatrics (Licence: CA G72794) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-03-26 |