| NPI | 1083053656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0070552) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125063811) |
| 208000000X Pediatrics (Licence: CO DR.0070552) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2023-07-06 |