| NPI | 1598989154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A113356) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A113356) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-04-28 |