| NPI | 1457307969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 23877) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 23877) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-06-21 |