NPI | 1215036348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA MD.204068) |
Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 199993) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 199993) | |
Enumeration Date | 2006-09-22 |
Last Update Date | 2013-06-28 |