NPI | 1598701500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX L9556) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A71310) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A71310) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 36689) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2024-11-07 |