| NPI | 1326155334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D29518) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD 29518) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-01-10 |