| NPI | 1124257142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-02580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2021-02580) |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2023-12-18 |