| NPI | 1265769806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: TX V1910) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: CA A152729) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A152729) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX V1910) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2024-09-03 |