| NPI | 1326469438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-17413) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301502488) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: AR E-17413) | |
| 208000000X Pediatrics (Licence: OH 131357) | |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2024-01-30 |