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 |