| NPI | 1023194495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A82125) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A82125) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2016-10-03 |