| NPI | 1043290539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9400462) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 9400462) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 9400462) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2017-02-15 |