| NPI | 1578917548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A152146) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0062574) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-09-13 |