| NPI | 1063148211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A180859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A180859) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A180859) | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2024-04-12 |