| NPI | 1265994297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A180160) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A180160) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A180160) | |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2026-06-23 |