| NPI | 1033303268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A53455) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ND 10698) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 10698) | |
| 208000000X Pediatrics (Licence: ND 10698) | |
| 208000000X Pediatrics (Licence: CA A53455) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A53455) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2016-09-20 |