| NPI | 1508860537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 26844-20) |
| Additional Taxonomies | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: WI 26844-20) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2024-09-16 |