| NPI | 1366435398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 27740) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01051701A) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME140266) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2025-10-02 |