| NPI | 1053608315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D85806) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD043030) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2014015592) | |
| 208000000X Pediatrics (Licence: MO 2014015592) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2023-04-05 |