| NPI | 1295059996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A143395) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60157762) |
| 208000000X Pediatrics (Licence: CA A143395) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2024-04-11 |