| NPI | 1790942688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2015-02380) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME99977) |
| 208000000X Pediatrics (Licence: FL ME99977) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-01-23 |