| NPI | 1538113733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX M8155) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 26579) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 26579) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-05-23 |