| NPI | 1578821096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 1024006) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A136562) |
| 208M00000X Hospitalist (Licence: CA A136562) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2026-02-20 |