| NPI | 1902063407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 071886) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 071886) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-01-19 |