| NPI | 1821482753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A155875) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60561404) |
| 208000000X Pediatrics (Licence: CA A155875) | |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2024-04-28 |