| NPI | 1588821797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL MD.47747) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR E-9965) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX S1638) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-12-12 |