| NPI | 1194767954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 059179) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX H3835) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2014-02124) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM MD2023-1175) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME123613) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-06-13 |