| NPI | 1730158213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: OK 40275) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WA 60051227) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: WA 60051227) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-09-21 |