| NPI | 1922067933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 290404) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: NY 290404) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 22654) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2023-06-29 |