NPI | 1174919575 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2021009977) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MO 2021009977) |
208000000X Pediatrics (Licence: MO 2021009977) | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2024-04-25 |