| NPI | 1457312548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 32037) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 32037) |
| 208M00000X Hospitalist (Licence: TN 32037) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-02-02 |