| NPI | 1760494900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 05-30785) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KS 05-30785) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2026-05-13 |