| NPI | 1386695112 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: WI 22403) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 22403) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2013-01-25 |