| NPI | 1326279969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 25228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56181) |
| 208000000X Pediatrics (Licence: MN 56181) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX Q7394) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01078714A) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2017-10-09 |