| NPI | 1659330330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: PR 11377) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PR 11377) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-12-11 |