| NPI | 1447605423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0071223) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0071223) |
| 208000000X Pediatrics (Licence: ID M-16065) | |
| 208000000X Pediatrics (Licence: OR MD192237) | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2023-09-22 |