| NPI | 1336357029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101252547) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101252547) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2024-03-22 |