| 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 |