| NPI | 1780871624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D66650) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0011880) |
| 208M00000X Hospitalist (Licence: MD D66650) | |
| 208M00000X Hospitalist (Licence: DE C1-0011880) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2024-04-30 |