| NPI | 1942223664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G80214) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 43911) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA G80214) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-10-05 |