| NPI | 1467551788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 27063) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: SC 27063) |
| 208000000X Pediatrics (Licence: SC 27063) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-06-07 |