| NPI | 1497784243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A42855) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 23777) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME88771) | |
| 208000000X Pediatrics (Licence: CA A42855) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2016-06-27 |