NPI | 1700040599 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM MD2015-0222) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35097005) |
208000000X Pediatrics (Licence: MO 2012012816) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01078297A) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME129316) | |
Enumeration Date | 2008-07-11 |
Last Update Date | 2020-02-20 |