| NPI | 1487668679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A110854) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 03611408) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N8546) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-07-14 |