| NPI | 1366676298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OR MD215324) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P2649) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX P2649) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2023-06-29 |