| NPI | 1295099448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 277166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 050709) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 277166) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2022-07-21 |