| NPI | 1174675318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A69471) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A69471) |
| 208M00000X Hospitalist (Licence: CA A69471) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2024-04-28 |