| NPI | 1154320059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 230380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 230380) |
| 208M00000X Hospitalist (Licence: MA 230380) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2009-08-12 |