| NPI | 1639346141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D0102835) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD043292) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D0102835) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2025-03-13 |