| NPI | 1285175588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A198585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A198585) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA A198585) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-11-05 |