| NPI | 1699986893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301083165) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301083165) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301083165) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2011-06-13 |