| NPI | 1750352209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 167899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 167899) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-08-02 |