| NPI | 1851448658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 42254) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME148840) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME148840) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2024-03-21 |