| NPI | 1699795211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0061375) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 55723701205) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-02-12 |