| NPI | 1700060431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 40792) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 407925) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2017-04-03 |