| NPI | 1467652909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD432185) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD432185) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-06-01 |