| NPI | 1760645899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 34433) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 34433) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL md.29527) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2017-03-24 |