| NPI | 1821438326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 65371) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 65371) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CT 65371) | |
| 208D00000X General Practice (Licence: CT 65371) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2023-12-14 |