| NPI | 1144438409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 231766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231766) |
| 208M00000X Hospitalist (Licence: MA 231766) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2019-01-25 |