| NPI | 1538294889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 71976) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA A34491) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: GA 71976) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-11-10 |