| NPI | 1770863490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX T6667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01078004A) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D0095720) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01078004A) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2023-00056) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301506929) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101275269) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 33216) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 95955) | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2024-11-05 |