| NPI | 1457474645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD434379) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD434379) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-01-12 |