NPI | 1255301032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-00694) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2013-00694) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2024-07-15 |