| NPI | 1689601395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 041818) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 041818) |
| 208000000X Pediatrics (Licence: CT 041818) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2023-03-07 |