NPI | 1326282286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 25217) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190553) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD439485) | |
Enumeration Date | 2009-04-22 |
Last Update Date | 2022-07-21 |