| NPI | 1457525891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A140712) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD426068) |
| 208000000X Pediatrics (Licence: AL 29765) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 29765) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2021-10-01 |