| NPI | 1437137064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301065269) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301065269) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2025-08-12 |