| NPI | 1932605433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 77799) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN S479125347520) |
| 208000000X Pediatrics (Licence: MN 77799) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-08-14 |