| NPI | 1952063190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 332649) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 332649) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-09-06 |