| NPI | 1700806387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 173336) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 173336) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-05-25 |