| NPI | 1477796951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 074800) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036130375) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01075563A) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-04-24 |