| NPI | 1386006484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101277274) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101277274) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-08-09 |