| NPI | 1366486045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD054754L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 15037) |
| 208M00000X Hospitalist (Licence: IL 036090763) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-04-24 |