NPI | 1275594855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD020079E) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: DE C10005998) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2011-12-28 |