| NPI | 1396894887 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 53578) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 53578) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2013-07-26 |