| NPI | 1457528762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN MD48592) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 48592) |
| 208000000X Pediatrics (Licence: NC 2011-00383) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2024-11-18 |