| NPI | 1043498520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 40162) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 40162) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2024-01-31 |