| NPI | 1912299629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D81609) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MD D81609) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2022-03-24 |