NPI | 1790894566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME82181) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME82181) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2013-04-22 |