| NPI | 1982634036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 322403) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: LA 322403) |
| 208000000X Pediatrics (Licence: LA 322403) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2022-12-14 |