NPI | 1962930685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL OS16710) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL 16710) |
208000000X Pediatrics (Licence: GA 9016) | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL 16710) | |
Enumeration Date | 2017-05-25 |
Last Update Date | 2024-09-27 |