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 |