| NPI | 1801272539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL MD.49921) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AL MD.49921) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2025-02-10 |