| NPI | 1942612510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD61449691) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61449691) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-10-05 |