| NPI | 1609044296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35099353) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10023252) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SD 7209) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N8840) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NV 13782) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2012-00180) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2023-11-03 |