| NPI | 1427107598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD00045351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00045351) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD00045351) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2019-01-28 |