| NPI | 1639313026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301099926) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301099926) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME128955) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME128955) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2020-02-25 |