| NPI | 1881822302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101253870) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101253870) |
| 208000000X Pediatrics (Licence: VA 0101253870) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101253870) | |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-06-21 |