NPI | 1588605174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 37856) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 37856) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2025-10-06 |