| NPI | 1336262450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OR MD153843) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 231129) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2011-08-04 |