| NPI | 1457550923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME147880) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AL MD.37960) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL MD.37960) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 333366) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2022-12-05 |