| NPI | 1861471070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01074500A) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 81874-20) |
| 208M00000X Hospitalist (Licence: IN 01074500A) | |
| 208000000X Pediatrics (Licence: IN 01074500A) | |
| 208000000X Pediatrics (Licence: KY 50913) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.133101) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2025-05-30 |