NPI | 1851366272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 34271) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 34271) |
Enumeration Date | 2006-02-20 |
Last Update Date | 2018-01-15 |