| NPI | 1629272182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2005-00825) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2005-00825) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 200500825) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2024-11-07 |