| NPI | 1730348319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 51568) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD441943) |
| 208000000X Pediatrics (Licence: PA MD441943) | |
| 208000000X Pediatrics (Licence: MN 51568) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2016-01-22 |