| NPI | 1275592495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A64153) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A64153) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-11-02 |