| NPI | 1336326750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: SC MD91725) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: GA 059376) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TN MD0000046165) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2024-04-17 |