| NPI | 1730301581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 43853) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN MD43853) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-03-17 |