| NPI | 1710373725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 57691) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 57691) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-01-02 |