| NPI | 1437155306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.132553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 26670) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 26670) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX L4216) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2017-10-25 |