| NPI | 1316442148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 55499) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 55499) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2025-06-09 |