| NPI | 1194954420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: SC 90515) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: FL ME158326) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: PA 426479) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IN 01071583A) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2025-08-01 |