NPI | 1023127131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N7782) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01058659) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01058659) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-08-03 |