| NPI | 1447472857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A99445) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A99445) |
| 208000000X Pediatrics (Licence: NY 287651-1) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2025-04-10 |