| NPI | 1710106042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-6020) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AR E-6020) |
| 208M00000X Hospitalist (Licence: AR E-6020) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-02-18 |