| NPI | 1699861740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2000160617) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AR E-10736) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 295991) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101233521) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 47652) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2024-07-17 |