NPI | 1487949038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 49621) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 49621) |
Enumeration Date | 2011-06-11 |
Last Update Date | 2022-07-21 |