| NPI | 1407275274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T1107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA10093800) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-06-17 |