| NPI | 1396766515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036102492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND 9475) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 46620) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01056912A) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-08-28 |