| NPI | 1740360841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101268051) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2000-00855) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME126898) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-05-09 |