| NPI | 1134689904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1016423) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 1016423) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-05-15 |