| NPI | 1992895551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR C-7327) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AR C-7327) |
| 207R00000X Internal Medicine (Licence: AR C-7327) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-01-23 |