| NPI | 1831283837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A71240) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 258927) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-11-18 |