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 |