| NPI | 1568754166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0054161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 54161) |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2018-11-17 |