| NPI | 1497735641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101237187) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101237187) |
| 208000000X Pediatrics (Licence: GU M1928) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GU M1928) | |
| Enumeration Date | 2006-01-21 |
| Last Update Date | 2016-09-02 |