NPI | 1518463306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL MD.42645) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.42645) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2021-09-08 |