| NPI | 1699963918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: HI MD-20510) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A98849) |
| 207R00000X Internal Medicine (Licence: IL 036.123480) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.123480) | |
| 208000000X Pediatrics (Licence: CA A98849) | |
| 208000000X Pediatrics (Licence: IL 036.123480) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.123480) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2021-05-21 |