| NPI | 1780076448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A160083) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 1780076448) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2025-03-14 |