| NPI | 1811042799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: ME MD19777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 229873) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: ND 13373) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D0077497) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-08-16 |