| NPI | 1396953402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DE C1-0010906) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX N3998) |
| 208000000X Pediatrics (Licence: NM MD2011-0124) | |
| 208000000X Pediatrics (Licence: AZ 47431) | |
| 208M00000X Hospitalist (Licence: DE C1-0010906) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-06-17 |