| NPI | 1831579945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.145506) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01093113A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2024-05-31 |