| NPI | 1952436289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A92477) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME104618) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 105369- Temp) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-12-27 |