| NPI | 1780945477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL MD.48040) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.48040) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AL MD.48040) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2024-05-28 |