| NPI | 1598056525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 60934) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.121200) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 24534) | |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2016-07-11 |