NPI | 1902863871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301100059) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MI 4301100059) |
208000000X Pediatrics (Licence: MI 4301100059) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2025-06-04 |