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 |