| 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 |