| NPI | 1881731255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036-119683) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036119683) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 38700) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-02-20 |