| NPI | 1346437175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301503671) |
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: MI 4301503671) |
| 208000000X Pediatrics (Licence: WI 66607) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 66607) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2021-04-22 |