| NPI | 1215316294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 287364) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301114195) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2023-06-28 |