NPI | 1548580137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA10570600) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0070714) |
208M00000X Hospitalist (Licence: DE C10010435) | |
208M00000X Hospitalist (Licence: FL ME138103) | |
Enumeration Date | 2010-06-04 |
Last Update Date | 2020-03-09 |