NPI | 1376800730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 14821) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 14821) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2025-02-14 |