| NPI | 1932225257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 252648) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA a96261) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 252648) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-06-27 |