| NPI | 1649208828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D50845) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D50845) |
| 208000000X Pediatrics (Licence: MD D50845) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-06-25 |