| NPI | 1528314259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS11720) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 273061) |
| 208M00000X Hospitalist (Licence: NY 273061) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2023-06-30 |