| NPI | 1841781952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 52438) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 52438) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2025-10-24 |