| NPI | 1417002098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-04850) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036123769) |
| 208M00000X Hospitalist (Licence: NC 2020-04850) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-03-12 |