| NPI | 1265896682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U9452) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101024572) |
| 208000000X Pediatrics (Licence: IL 1265896682) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-05-30 |