| NPI | 1497887509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VT 042-0011377) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VT 042-0011377) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2025-09-19 |