| NPI | 1326259433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA MD43482) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 262353) |
| 207R00000X Internal Medicine (Licence: MA 262353) | |
| 208000000X Pediatrics (Licence: MA 262353) | |
| 208000000X Pediatrics (Licence: IA MD43482) | |
| 207R00000X Internal Medicine (Licence: IA MD43482) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-06-19 |