| NPI | 1992929145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: PA MD454739) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454739) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-03-20 |