| NPI | 1033423298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD449040) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD449040) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2014-12-17 |