NPI | 1982600342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA C167888) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA C167888) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2024-04-28 |