| NPI | 1750351326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 60056) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 60056) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX L6007) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2006-00179) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2022-12-12 |