NPI | 1881854735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 265433) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 265433) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2015-02-05 |