| NPI | 1265524375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 0067479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 0067479) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-12-11 |