| NPI | 1225340003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 10255195-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 47602) |
| 208000000X Pediatrics (Licence: UT 10255195-1205) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 10255195-1205) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2022-07-21 |