| NPI | 1346709292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: UT 14237311-1205) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A180174) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-08-15 |