| NPI | 1457442931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A65819) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A65819) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-08-12 |