| NPI | 1023019056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 200000361) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 358) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101059215) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2024-03-23 |