| NPI | 1578821096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A136562) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A136562) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2018-08-27 |