| NPI | 1700206372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA MD-50431) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A149462) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A149462) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2022-10-27 |