| NPI | 1083926125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2016020748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016020748) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2016020748) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2020-08-26 |