NPI | 1104917475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10006653) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: DE C10006653) |
208M00000X Hospitalist (Licence: PA MD060503L) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2011-12-28 |