NPI | 1295028397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 36766) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 36766) |
208000000X Pediatrics (Licence: MN 390200000X) | |
Enumeration Date | 2011-05-23 |
Last Update Date | 2024-09-03 |