NPI | 1437119682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 21700) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 21700) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2017-04-03 |