| NPI | 1053380493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME110242) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: VA 0101057845) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MO 2004017086) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-03-16 |