| NPI | 1063828093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A146725) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020019651) |
| 208000000X Pediatrics (Licence: CA A171883) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A146725) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2022-08-18 |