| NPI | 1487916177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A135321) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125061086) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 292584) | |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2023-04-24 |