| NPI | 1952520074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N6113) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A86922) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A86922) | |
| 208000000X Pediatrics (Licence: TX N6113) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2017-02-15 |