| NPI | 1407350093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0070075) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021008479) |
| 208M00000X Hospitalist (Licence: MO 2021008479) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2021008479) | |
| 208000000X Pediatrics (Licence: CO DR.0070075) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2026-07-08 |