| NPI | 1922279801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 60832) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 60832) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2021-01-11 |