| NPI | 1477628824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 40566) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: HI MD-11839) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 40566) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: HI MD-11839) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2018-03-23 |