| NPI | 1972586006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 47682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 18975) |
| 208M00000X Hospitalist (Licence: MS 18975) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2013-08-01 |