| NPI | 1508030321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 328967) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D72899) |
| 208000000X Pediatrics (Licence: CO 47772) | |
| 208000000X Pediatrics (Licence: LA 328967) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D72899) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2024-03-22 |