| NPI | 1134514938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: DE C1-0013572) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 294988-1) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-06-01 |