NPI | 1245472430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD184925) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60279400) |
208M00000X Hospitalist (Licence: WA MD60279400) | |
Enumeration Date | 2009-04-02 |
Last Update Date | 2022-07-21 |