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 |