| NPI | 1841241668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 38144) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD446646) |
| 208M00000X Hospitalist (Licence: KY 38144) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2021-09-15 |