| NPI | 1548201189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 0360122537) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 49126) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 45891) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-01-31 |