| NPI | 1356760656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2021-03264) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2021-03264) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2024-07-15 |