| NPI | 1467730986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME.136733) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME136733) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101276409) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2025-08-13 |