| NPI | 1467642603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.091392) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD431993) |
| 208000000X Pediatrics (Licence: OH 35.091392) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA 60217239) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-07-21 |