NPI | 1639309420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME125121) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WV 23707) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 23707) | |
Enumeration Date | 2009-07-15 |
Last Update Date | 2015-10-15 |