| NPI | 1215130612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 29377) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.29377) |
| 208000000X Pediatrics (Licence: OH 35148584) | |
| 208000000X Pediatrics (Licence: AL MD.29377) | |
| 208M00000X Hospitalist (Licence: MS 32055) | |
| 208M00000X Hospitalist (Licence: OH 35148584) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-11-08 |