| NPI | 1700856291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME70848) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME70848) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME0070848) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME70848) | |
| 208000000X Pediatrics (Licence: FL ME70848) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME0070848) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-10-30 |