| NPI | 1396076618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 69345) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A114904) |
| 208000000X Pediatrics (Licence: CA A114904) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2021-01-07 |