| NPI | 1588765358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME65770) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME65770) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL ME65770) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME65770) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2025-03-25 |