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 |