| NPI | 1083918163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S8222) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: MS 29022) |
| 208000000X Pediatrics (Licence: IN 01092869A) | |
| 208000000X Pediatrics (Licence: IL 036138189) | |
| 208000000X Pediatrics (Licence: MS 29022) | |
| 208000000X Pediatrics (Licence: WI 68919) | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: IL 125.058976) | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: WI 68919) | |
| 208M00000X Hospitalist (Licence: IN 01092869A) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2024-06-03 |