| NPI | 1265541361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX P1510) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01046864) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01046864) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-11-09 |