| NPI | 1255629333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 49322) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R72586) |
| 208000000X Pediatrics (Licence: AZ 49322) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2021-08-18 |