| NPI | 1437356003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD60381084) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A112642) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA MD60381084) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2024-01-26 |