| NPI | 1205912524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01059643A) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: ID M14405) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N1514) | |
| 208000000X Pediatrics (Licence: NY 60236698) | |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2024-05-13 |