| NPI | 1851382436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 160273) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 160273) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2008-12-22 |