| NPI | 1437425352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A137290) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A137290) |
| 208000000X Pediatrics (Licence: VA 0101258572) | |
| 208M00000X Hospitalist (Licence: CA A137290) | |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2024-04-29 |