| NPI | 1518028810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-10177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-10177) |
| 208M00000X Hospitalist (Licence: HI MD-10177) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-09-22 |