| NPI | 1568476505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A8530) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A8530) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-05-06 |