NPI | 1811143290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036141715) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301102366) |
208000000X Pediatrics (Licence: IL 141715) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 03614171) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036141715) | |
208M00000X Hospitalist (Licence: MI 4301102366) | |
Enumeration Date | 2008-08-17 |
Last Update Date | 2021-08-13 |