| NPI | 1548471006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 31612) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 266147) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036117865) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-02-22 |