| NPI | 1669528246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO DR.0044964) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 44964) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-12-05 |