| NPI | 1245593565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MT201478) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 304036) |
| 208000000X Pediatrics (Licence: PA MD454298) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD454298) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-07-03 |