| NPI | 1477874485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL me119946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me119946) |
| 208000000X Pediatrics (Licence: FL me119946) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2023-04-28 |