| NPI | 1891133823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IA DO-06739) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 2857-321) |
| 208000000X Pediatrics (Licence: MN 66932) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: ND 20204) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2024-09-17 |