| NPI | 1265829857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO 62682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 62682) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2019-07-12 |