| NPI | 1477509032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD454855) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD454855) |
| 207L00000X Anesthesiology (Licence: PA MD454855) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-02-07 |