| NPI | 1366780603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX T6818) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013030299) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2013030299) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 24987) | |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2023-03-29 |