| NPI | 1992991814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME133539) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME133539) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX M8139) | |
| 208000000X Pediatrics (Licence: TX M8139) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2024-12-06 |