NPI | 1902876584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 32116) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: KY 32116) |
208000000X Pediatrics (Licence: KY 32116) | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2024-03-26 |