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 |