| NPI | 1386601888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 21078) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01064448A) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX J9320) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2021-02-16 |