NPI | 1639142086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD434817) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD434817) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 10695) | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2023-06-01 |