| NPI | 1538164470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C55321) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C55321) |
| 208M00000X Hospitalist (Licence: CA C55321) | |
| 208000000X Pediatrics (Licence: AR E4161) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2024-04-29 |