| NPI | 1316952088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX L7263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L7263) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM MD2017-0116) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-08-07 |