| NPI | 1215912175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NC 200200747) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NC 200200747) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2018-04-10 |