| NPI | 1174622906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 213130) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 213130) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-07-06 |