| NPI | 1790754612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0053136) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D53136) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-04-15 |