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 |