| NPI | 1669672986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 291362) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 52484) |
| 208M00000X Hospitalist (Licence: WI 52484) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2023-06-29 |