| NPI | 1326052416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD043597E) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD043597E) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-04-25 |