| NPI | 1083118608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A165495) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A165495) |
| 208000000X Pediatrics (Licence: CA A165495) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2026-07-22 |