| NPI | 1295750651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2006-00447) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101272440) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-08-31 |