| NPI | 1265646335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301093791) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301093791) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.127852) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-11-11 |