| NPI | 1881852051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A108896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301097786) |
| 208000000X Pediatrics (Licence: CA A108896) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301097786) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2024-04-11 |