| NPI | 1225299746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2012-00456) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-00456) |
| 208M00000X Hospitalist (Licence: NC 2012-00456) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2023-12-18 |