| NPI | 1992720056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 52824) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD426526) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036118804) | |
| 208000000X Pediatrics (Licence: PA MD426526) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 52824) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD426526) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-09-30 |