| NPI | 1639520349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A154039) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A154039) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2023-12-20 |