| NPI | 1225296627 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DE C2-0010058)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C2-0010058)  | 
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA OS014790)  | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD H0076755)  | |
| Enumeration Date | 2008-06-02 | 
| Last Update Date | 2022-10-28 |