| NPI | 1558655688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD458886) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD042195) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD458886) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2021-03-08 |