| NPI | 1295069375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA C174844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P1988) |
| 208000000X Pediatrics (Licence: CA C174844) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME129660) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2024-04-11 |