NPI | 1427221787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301100796) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100796) |
208000000X Pediatrics (Licence: IL 036-114533) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301100796) | |
Enumeration Date | 2008-04-08 |
Last Update Date | 2021-02-25 |