| NPI | 1609961739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA C136504) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 37457) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 001976) | |
| 208000000X Pediatrics (Licence: CA C136504) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-04-16 |