| NPI | 1396904942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO 57089) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D72627) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO 57089) | |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2024-03-18 |