| NPI | 1386757201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA 43023) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2022-02662) |
| 208000000X Pediatrics (Licence: GA 43023) | |
| 208M00000X Hospitalist (Licence: NC 2022-02662) | |
| 208M00000X Hospitalist (Licence: GA 43023) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-04-28 |