| NPI | 1871538983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN MD018936) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD018936) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TN MD018936) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TN MD018936) | |
| 207P00000X Emergency Medicine (Licence: TN 018936) | |
| 207P00000X Emergency Medicine (Licence: TN MD018936) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-08-07 |