| NPI | 1801853502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX H6593) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: ID M-15545) |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX H6593) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: ID M-15545) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-08-11 |