| NPI | 1326000324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C128501) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C128501) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 210994) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA C128501) | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-04-11 |