| NPI | 1700267382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A153925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT209521) |
| 208000000X Pediatrics (Licence: CA A153925) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2023-12-20 |