| NPI | 1831482371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A131625) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A131625) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NV 19221) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2024-04-11 |