| NPI | 1831532332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 26625) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016016499) |
| 208000000X Pediatrics (Licence: TN 57914) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2016016499) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 57914) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MS 26625) | |
| 208M00000X Hospitalist (Licence: MO 2016016499) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2024-02-17 |