| NPI | 1356383483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 31476) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 31746) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-09-11 |