| NPI | 1114044146 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME-129-467) | 
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME129467) | 
| Enumeration Date | 2007-03-23 | 
| Last Update Date | 2022-06-09 |