| 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 |