NPI | 1316309701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX U5222) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX U5222) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO DR.0062347) | |
Enumeration Date | 2016-03-24 |
Last Update Date | 2024-11-12 |