| NPI | 1992995245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA OS015549) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036-113773) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 4788) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2016-03-23 |