| NPI | 1518291293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 7824) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71120) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2018-10-29 |