| NPI | 1013015783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 7784) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND 7784) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-01-14 |