| NPI | 1881802999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO DR-50064) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR-50064) |
| 208000000X Pediatrics (Licence: CA 20A9713) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 20A9713) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-08-15 |