| NPI | 1235345042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2015002406) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2015002406) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2015002406) | |
| 208000000X Pediatrics (Licence: MO 2015002406) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2026-06-22 |