| NPI | 1477291060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 74343) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 74343) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2025-07-25 |