| NPI | 1225059421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 65736) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 248026) |
| 208M00000X Hospitalist (Licence: NY 248026) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2021-01-29 |