| NPI | 1316142920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N5697) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A125866) |
| 208000000X Pediatrics (Licence: TX N5697) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A125866) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2019-04-18 |