| NPI | 1013934546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 13458906-1205) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO R3L63) |
| 208M00000X Hospitalist (Licence: UT 13458906-1205) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-12-12 |