| NPI | 1528365277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2020-02590) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 55489) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 55489) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA MD-43273) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2020-06-03 |