| NPI | 1013413152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA MD-48202) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-48202) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD484184) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2025-08-15 |