| NPI | 1447592688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0056810) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0056810) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-03-22 |