| NPI | 1013992759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME113841) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9801478) |
| 208000000X Pediatrics (Licence: NC 9801478) | |
| 207R00000X Internal Medicine (Licence: FL ME113841) | |
| 208M00000X Hospitalist (Licence: FL ME113841) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2019-07-26 |