| NPI | 1073731493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 202914) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 202914) |
| 208000000X Pediatrics (Licence: IN 01063471A) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 202914) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-06-13 |