| NPI | 1093908485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD419622) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DE C10011176) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 52070) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 52070) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C10011176) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2019-07-18 |