| NPI | 1235427998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 306211) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN16621) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME113838) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX R0230705) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2024-01-26 |