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 |