| NPI | 1750606778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0052733) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 258953) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NC 2017-00953) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2017-07-24 |