| NPI | 1093218133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 13353078-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A148451) |
| 208000000X Pediatrics (Licence: UT 000) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 000) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2023-10-05 |