| NPI | 1629026919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA06236100) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036112755) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME59520) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 25942) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01061908A) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN MD38247) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NV 10858) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-10-24 |