| NPI | 1982041570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A135606) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A135606) |
| 208000000X Pediatrics (Licence: CA A135606) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2024-04-28 |