| NPI | 1659456390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301515130) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR E-13893) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AR E-13893) | |
| 208000000X Pediatrics (Licence: AR E-13893) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO 35991) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-11-10 |