| NPI | 1396701389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 196647) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MT MED-PHYS-LIC-53570) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-03-04 |