| NPI | 1881077444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS15229) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS15229) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-09-28 |