| NPI | 1447369558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: LA 202653) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IN 01060859) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-06-18 |