| NPI | 1407023310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: FL ME117929) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: UT 8209555-1205) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: UT 8209555-1205) | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2016-04-08 |