| NPI | 1093738700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME93431) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME93431) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN MD46168) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-10-14 |