NPI | 1073731493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 202914) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01063471A) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 202914) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 202914) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2024-08-07 |