| NPI | 1407952963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 00786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301113644) |
| 208000000X Pediatrics (Licence: NH 17545) | |
| 208000000X Pediatrics (Licence: TX R3464) | |
| 208000000X Pediatrics (Licence: AL MD.43539) | |
| 208000000X Pediatrics (Licence: KS 04-40922) | |
| 208000000X Pediatrics (Licence: PA MD046924L) | |
| 208000000X Pediatrics (Licence: NY 191749) | |
| 208M00000X Hospitalist (Licence: TX R3464) | |
| 208000000X Pediatrics (Licence: WA 60837592) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2024-07-22 |