| NPI | 1588682397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KY 50864) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2003010406) |
| 208000000X Pediatrics (Licence: KY 50864) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2003010406) | |
| 208M00000X Hospitalist (Licence: MO 2003010406) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-05-29 |