| NPI | 1316115777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX Q1127) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2005016376) |
| 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: TX Q1127) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2021-01-06 |