| NPI | 1679717789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM 2003-0483) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME114820) |
| 208000000X Pediatrics (Licence: VA 0101277209) | |
| 208000000X Pediatrics (Licence: NC 2013-00527) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A95367) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2024-10-30 |