| NPI | 1932364304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 55954) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 55954) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2022-07-21 |