| NPI | 1841350469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 42782) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 036-068089) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-02-19 |