| NPI | 1285019091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 61028) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 292976) |
| 208M00000X Hospitalist (Licence: TN 61028) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2022-03-30 |