| NPI | 1306912654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 34354) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 34354) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2022-07-21 |