| NPI | 1609191345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.143459) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 56784) |
| 208M00000X Hospitalist (Licence: WI 56784) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2017-06-26 |