| NPI | 1831156595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: ID M-15488) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX J9854) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX J9854) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-12-10 |