| NPI | 1316309388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-02957) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10484702-1205) |
| 208M00000X Hospitalist (Licence: NC 2020-02957) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2020-07-14 |