NPI | 1902570724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042.0017988) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 332818) |
208M00000X Hospitalist (Licence: VT 042.0017988) | |
208000000X Pediatrics (Licence: NY 332818) | |
Enumeration Date | 2021-08-04 |
Last Update Date | 2025-09-19 |