NPI | 1316952088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX L7263) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM MD2017-0116) |
208000000X Pediatrics (Licence: TX L7263) | |
Enumeration Date | 2006-07-30 |
Last Update Date | 2024-10-30 |