| NPI | 1861425456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 40894) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME141981) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA G65706) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2022-11-10 |