NPI | 1205568771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023035984) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023035984) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2025-08-13 |