NPI | 1235174103 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 157873) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 157873) |
208M00000X Hospitalist (Licence: MA 157873) | |
Enumeration Date | 2006-06-17 |
Last Update Date | 2018-03-17 |