| NPI | 1356418990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME68205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0068205) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME0068205) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-01-27 |