NPI | 1427377589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME121484) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2013-00266) |
Enumeration Date | 2010-05-27 |
Last Update Date | 2014-12-04 |