| NPI | 1841293164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX K6254) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX K6254) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 51588) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-09-29 |