NPI | 1326433731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2018015585) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2018015585) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2018015585) | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2024-04-25 |