| NPI | 1417519190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 35444) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 35444) |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-08-22 |