| NPI | 1255322202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA G66425) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ MA07157000) |
| 208000000X Pediatrics (Licence: CA G66425) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2024-04-28 |