| NPI | 1548220635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 22022) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 22022) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-07-12 |