| NPI | 1437132131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 50052) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 187460) |
| 208000000X Pediatrics (Licence: MD D0046877) | |
| 208000000X Pediatrics (Licence: NY 187460) | |
| 208000000X Pediatrics (Licence: PA MD049233L) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2024-06-06 |