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 |