| NPI | 1457536054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PR 17973) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 11,844-I) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2024-08-06 |