| NPI | 1992140263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0068500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01076727A) |
| 208000000X Pediatrics (Licence: CO DR.0068500) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2022-06-09 |