| NPI | 1679935100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX T6037) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T6037) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T6037) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-08-28 |