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 |