| NPI | 1295762375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 076507) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 076507) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-09-02 |