| NPI | 1174720437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX Q0097) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MT186232) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD432001) | |
| 208000000X Pediatrics (Licence: PA MD432001) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q0097) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2024-01-26 |