| NPI | 1215981881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0030696) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 33209) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-05-08 |