| NPI | 1649700782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.156264) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.070733) |
| 208M00000X Hospitalist (Licence: IL 036.156264) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-06-29 |