| NPI | 1992829766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD421033) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD421033) |
| 208000000X Pediatrics (Licence: PA MD421033) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-05-19 |