| NPI | 1164508479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC MMD.34396 MD) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN10113) |
| 208000000X Pediatrics (Licence: SC 34396) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 62846) | |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2023-06-28 |