| NPI | 1245597749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0055787) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CO DR.0055787) |
| 208000000X Pediatrics (Licence: CO DR.0055787) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2026-05-18 |