| NPI | 1215902895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD45615) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX v2177) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME73834) | |
| 208000000X Pediatrics (Licence: FL ME73834) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX v2177) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME73834) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DC MD45615) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX v2177) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2025-08-08 |