| NPI | 1790928406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 271374) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME128382) |
| 208M00000X Hospitalist (Licence: NY 271374) | |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2020-02-12 |