| NPI | 1497252332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL 38638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 38638) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 38638) | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2021-07-24 |