| NPI | 1982627998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 017751) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA MD017751) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-03-14 |