| NPI | 1689917239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 52936) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 52936) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2018-01-18 |