| NPI | 1326507344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME171169) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A179846) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-11-15 |