| NPI | 1245472430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD184925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60279400) |
| 208M00000X Hospitalist (Licence: WA MD60279400) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2022-07-21 |