| NPI | 1124472014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2019-00764) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2019-00764) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2024-05-23 |