| NPI | 1518122316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C155891) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA C155891) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2020-01-14 |