| NPI | 1649350919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 50967) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA G50967) |
| 208000000X Pediatrics (Licence: NC 0000-34906) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-10-02 |