| NPI | 1407863467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO CDR.0002499) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00046087) |
| 208000000X Pediatrics (Licence: CO CDR.0002499) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: WA MD00046087) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2023-08-24 |