| NPI | 1407816481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 188193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M13113) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GU MTL-2018-011) | |
| 208000000X Pediatrics (Licence: NJ 25MA05756000) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA05756000) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME120876) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2024-10-10 |