| NPI | 1144300484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K5233) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX K5233) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX K5233) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2025-09-11 |