| NPI | 1457351843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 37378) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PR 11434) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2006-01281) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2015-05-26 |