| NPI | 1467473876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A41632) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A41632) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A41632) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A41632) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-09-11 |