| NPI | 1427041474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NC 2016-02445) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2016-02445) |
| 208000000X Pediatrics (Licence: NC 2016-02445) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2023-08-01 |