| NPI | 1275846438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301111106) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301111106) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2023-02-23 |