| NPI | 1679951347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME157305) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME157305) |
| 208000000X Pediatrics (Licence: CA A155650) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-10-01 |