| NPI | 1992037402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A110991) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A110991) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A110991) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.133191) | |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2025-08-06 |