| NPI | 1669705786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A107972) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A107972) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2014-05-05 |