| NPI | 1508246265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 292895) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT208119) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-06-30 |