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 |