| NPI | 1437503554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD479480) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD479480) |
| 208M00000X Hospitalist (Licence: WI 70815) | |
| 208000000X Pediatrics (Licence: WI 70815-20) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-06-27 |