| NPI | 1356561385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2010-00200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00200) |
| 208000000X Pediatrics (Licence: NC 2010-00200) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2010-00200) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-02-14 |