| NPI | 1205263340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX R9853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME136009) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX r9853) | |
| 208M00000X Hospitalist (Licence: FL ME136009) | |
| 208M00000X Hospitalist (Licence: OH 35.123990) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2021-01-20 |