| NPI | 1770866535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 50133) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125059254) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2018-03-29 |