| NPI | 1184899460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 11371979-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 134974) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-11-23 |