| NPI | 1265665855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2017005744) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017005744) |
| 208000000X Pediatrics (Licence: MI 4301094393) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301094393) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2021-03-11 |