| NPI | 1184649154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: CA G89282) |
| Additional Taxonomies | 2080H0002X (Licence: VA 0101033436) |
| 2080H0002X (Licence: MD D80682) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DC MD043581) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA G89282) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-02-28 |