| NPI | 1053699306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2022021145) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01078789) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01078789) | |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2022-07-06 |