NPI | 1780333104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0075438) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0075438) |
Enumeration Date | 2022-03-22 |
Last Update Date | 2025-07-10 |