| NPI | 1477576403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD059753L) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD059753L) |
| 208000000X Pediatrics (Licence: PA MD059753L) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-06-01 |