| NPI | 1871606210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102208378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.016517) |
| 208000000X Pediatrics (Licence: IN 02007801A) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: FL OS13106) | |
| 208000000X Pediatrics (Licence: NH 25439) | |
| 208M00000X Hospitalist (Licence: IN 02007801A) | |
| 208M00000X Hospitalist (Licence: FL OS13106) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-08-01 |