| NPI | 1730157678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME97151) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME97151) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME97151) | |
| 208M00000X Hospitalist (Licence: FL ME97151) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2009-09-23 |