| NPI | 1003942475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D89740) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DC md034992) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D89740) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2026-02-03 |