| NPI | 1932225356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 43123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 9475A) |
| 208M00000X Hospitalist (Licence: MN 72612) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-03-07 |