| NPI | 1932849346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 14263053-1204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 345264) |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2026-07-23 |