| NPI | 1467659722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD431966) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD431966) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2023-06-02 |