| NPI | 1255594461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: OR MD215007) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: KS 04-36018) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NM MD2017-0611) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2023-05-08 |