| NPI | 1477902021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101265628) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO DR.0064185) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2024-04-30 |