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 |