| NPI | 1346475498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: AR E-10520) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MO 2011030385) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2023-06-12 |