| NPI | 1164504783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME118039) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME118039) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-02-01 |