| NPI | 1366646846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IA MD-49754) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 53302) |
| 208000000X Pediatrics (Licence: IA MD-49754) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-09-25 |