| NPI | 1457310393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 77883) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 77883) |
| 208000000X Pediatrics (Licence: MA 77883) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2015-09-01 |