NPI | 1407960156 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: FL ME170470) |
Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: AZ 56753) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2024-09-23 |