| NPI | 1558655795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD452104) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD452104) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD452104) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-12-30 |