NPI | 1467890699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A164215) |
Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IL 036.139924) |
2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MA 1020862) | |
Enumeration Date | 2013-06-10 |
Last Update Date | 2024-10-03 |