| NPI | 1386849156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 50268) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 50268) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2023-12-01 |