| NPI | 1972892958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036145363) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 62036) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 02005099A) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2024-10-11 |