| NPI | 1558472894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 41278) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 41278) |
| 208000000X Pediatrics (Licence: KY 41278) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-13 |