| NPI | 1215097043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA A72893) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A72893) |
| 208000000X Pediatrics (Licence: CA A72893) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2024-04-29 |