| NPI | 1194933143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 27847) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN MD0000048332) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-10-30 |