| NPI | 1437151875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 6217035-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD424002) |
| 208M00000X Hospitalist (Licence: UT 6217035-1205) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2023-10-26 |