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 |