| NPI | 1457713901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301501815) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.143715) |
| 208000000X Pediatrics (Licence: IL 036154056) | |
| 208000000X Pediatrics (Licence: PA MD481005) | |
| 208M00000X Hospitalist (Licence: OH 35.143715) | |
| 208000000X Pediatrics (Licence: IN 01093405A) | |
| 208M00000X Hospitalist (Licence: IL 036154056) | |
| 208M00000X Hospitalist (Licence: IN 01093405A) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-06-20 |