| NPI | 1952695017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 33621) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 33621) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2025-12-17 |