| NPI | 1841602349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A191485) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036156523) |
| 208000000X Pediatrics (Licence: MD d0084322) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2024-04-17 |