| NPI | 1821317579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME128466) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX FTL# 43665) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX P2964) | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2016-11-02 |