| NPI | 1124360003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 85630) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 266751) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 266751) | |
| 208M00000X Hospitalist (Licence: MA 266751) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-05-15 |