| NPI | 1972768216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C152161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0067792) |
| 208000000X Pediatrics (Licence: DC MD041400) | |
| 208000000X Pediatrics (Licence: KY TP422) | |
| 208000000X Pediatrics (Licence: FL ME122576) | |
| 208000000X Pediatrics (Licence: TX P4431) | |
| 208000000X Pediatrics (Licence: MA 1017952) | |
| 208M00000X Hospitalist (Licence: MD D0067792) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-10-10 |