| NPI | 1689600686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 9500457) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 167425) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD041640E) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-06-20 |