| NPI | 1023423720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 007183) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 007183) |
| 208000000X Pediatrics (Licence: MI 5101020887) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-12-16 |