| NPI | 1649538117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 59742) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 59742) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-01-10 |