NPI | 1295935864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 27298) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301090536) |
208M00000X Hospitalist (Licence: IA MD-43105) | |
Enumeration Date | 2007-07-23 |
Last Update Date | 2018-06-15 |