| NPI | 1134428451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-41760) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-41760) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2023-09-25 |