| NPI | 1215590534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL DO.2861) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL DO.2861) |
| 208000000X Pediatrics (Licence: AR E-18266) | |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-10-10 |