| NPI | 1659450484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D88326) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MO 2006031510) |
| 208000000X Pediatrics (Licence: MO 2006031510) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2006031510) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-01-06 |