| NPI | 1225344575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 58150) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 58150) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2019-09-24 |