| NPI | 1023420833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD459586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD459586) |
| 208000000X Pediatrics (Licence: PA MT206720) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-05-19 |