| NPI | 1346407558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD443328) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX M6858) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD443328) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2014-07-29 |