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 |