NPI | 1144508300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: DE C10010425) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 264265) |
208M00000X Hospitalist (Licence: DE C10010425) | |
Enumeration Date | 2011-07-21 |
Last Update Date | 2013-12-10 |