| NPI | 1447216320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA C53992) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C53992) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX M3180) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-08-23 |