| NPI | 1750637633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 39388) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 39388) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2017-08-24 |