NPI | 1649006321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 343921) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: LA 343921) |
Enumeration Date | 2024-09-10 |
Last Update Date | 2024-09-10 |