| NPI | 1003861543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 108274) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 108274) |
| 208M00000X Hospitalist (Licence: MO 108274) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-01-12 |