| NPI | 1033185368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 050231) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-00290) |
| 208000000X Pediatrics (Licence: GA 050231) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2013-00290) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 37059) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-05-29 |