| NPI | 1285747253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 20A7000) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA 20A7000) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-04-28 |