| NPI | 1750341459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301405919) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301405919) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2025-01-06 |