| NPI | 1578563565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME102382) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 102382) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL 102382) | |
| Enumeration Date | 2005-07-30 |
| Last Update Date | 2009-06-25 |