| NPI | 1821042292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A85668) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A85668) |
| 208M00000X Hospitalist (Licence: AZ 25631) | |
| 208000000X Pediatrics (Licence: AZ 25631) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2026-06-05 |