| NPI | 1538195847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA C128741) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 221025) |
| 208000000X Pediatrics (Licence: MA 221025) | |
| 208000000X Pediatrics (Licence: CA C128741) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C128741) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 221025) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-04-11 |