| NPI | 1033122502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OR MD174110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008350) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NH LT-3189) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NH 15905) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-12-07 |