| NPI | 1265460141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301089314) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2006-00286) |
| 208000000X Pediatrics (Licence: MI 4301089314) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301089314) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-04-16 |