| NPI | 1558866566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 292414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 292414) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2022-07-27 |